Nokea
A year after the diagnosis of hypothyroidism, Mrs. T. is admitted to the hospital in January in myxedema coma. Which of the following most probably accounts for this medical emergency?
- A. Hypothermia
- B. Failure to take thyroid medication
- C. Overdose of thyroid medication
- D. Failure to follow prescribed diet
Correct Answer: B
Rationale: Myxedema coma is a severe form of hypothyroidism that can occur due to the failure to take thyroid medication.
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Water intoxication may result from absorption of excessive bladder irrigation solution after surgery. Which of the following symptoms might indicate water intoxication is developing?
- A. Confusion and restlessness
- B. Increased serum sodium concentration
- C. Cool, clammy skin
- D. Marked peripheral edema
Correct Answer: A
Rationale: Confusion and restlessness are common symptoms of water intoxication. Monitoring for these signs is crucial in detecting and managing water intoxication promptly to prevent further complications.
What post procedure care will the nurse provide following an intravenous pyelogram?
- A. Use simple language with client or significant others.
- B. Administer sedative medications as ordered.
- C. Explain in detail all the technicalities about the test.
- D. Tell her about the risk factors of the test.
Correct Answer: A
Rationale: Using simple language with the client or significant others can help reduce anxiety and improve understanding. It is important to provide clear and concise information to address any concerns post-procedure.
During the nursing assessment of the patient with renal insufficiency, the nurse asks the patient specifically about a history of
- A. angina
- B. asthma
- C. hypertension
- D. rheumatoid arthritis
Correct Answer: C
Rationale: Hypertension is a common complication of renal insufficiency and is important to assess as it can impact the progression of the disease and treatment options.
Which intervention should you delegate to the nursing assistant for a patient with cystitis?
- A. Show the patient how to secure a clean-catch urine sample.
- B. Check the patient's urine for color, odor, and sediment.
- C. Review the nursing care plan and add nursing interventions.
- D. Provide the patient with a clean-catch urine sample container.
Correct Answer: C
Rationale: Reviewing the nursing care plan and adding nursing interventions can be delegated to the nursing assistant as it does not involve any complex medical procedures or decision-making.
An important point to remember when assisting urosto-mates with a pouch change is to
- A. scrub the peristomal skin with a deodorant soap
- B. cut the pouch opening approximately 3 mm larger than the stoma
- C. dry the skin thoroughly with alcohol wipes
- D. place aspirin in the bottom of the pouch to absorb odors
Correct Answer: B
Rationale: When assisting urosto-mates with a pouch change, it is important to cut the pouch opening approximately 3 mm larger than the stoma to prevent irritation and ensure a proper fit. This allows for a better seal and reduces the risk of leakage or skin damage. Scrubbing the peristomal skin with a deodorant soap, drying the skin with alcohol wipes, or placing aspirin in the pouch are not recommended practices and may lead to complications.